Individual
DEBRA LANE FATHERREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1026 NORTH FLOWOOD DRIVE, FLOWOOD, MS 39232
(601) 933-6464
Mailing address
30 WESTRIDGE DRIVE, BRANDON, MS 39047
(601) 672-0025
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R715956
MS
Other
Enumeration date
06/05/2013
Last updated
06/06/2013
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